Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions

Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. Simultaneous recording of cortical and spin...

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Veröffentlicht in:Archiv f r Psychiatrie und Nervenkrankheiten 1983-06, Vol.233 (2), p.103-110
Hauptverfasser: Stöhr, M, Buettner, U W, Wiethölter, H, Riffel, B
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Buettner, U W
Wiethölter, H
Riffel, B
description Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. Simultaneous recording of cortical and spinal evoked potentials, as well as peripheral nerve action potentials, revealed in two cases (herpes zoster, Guillain-Barré syndrome) a site of lesion at the spinal roots suggesting radiculitis and in one case (tick bite) a site of lesion central to the source of lumbar evoked potentials suggesting myelitis. In all cases almost complete recovery of sensory conduction velocities suggests a complete repair myelination not previously described.
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adolescent
Adult
Aged
Diagnosis, Differential
Evoked Potentials, Somatosensory
Female
Herpes Zoster - diagnosis
Humans
Male
Median Nerve - physiopathology
Myelitis - diagnosis
Neural Conduction
Polyradiculoneuropathy - diagnosis
Radiculopathy - diagnosis
Radiculopathy - physiopathology
Spinal Cord - physiopathology
Spinal Nerve Roots - physiopathology
Tibial Nerve - physiopathology
Tick Toxicoses - diagnosis
title Combined recordings of compound nerve action potentials and spinal cord evoked potentials in differential diagnosis of spinal root lesions
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